IndividualActive
Destane Leak
NPI 1114791886 · Behavior Technician · Fayetteville, NC
Destane Leak is a Behavior Technician provider in Fayetteville, NC (NPI 1114791886).
Provider details
- NPI number
- 1114791886
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-23-310444 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3649 Cape Center Dr
Fayetteville, NC 28304-4457
Phone: (910) 484-1711
Street-level locationGet directions
Mailing address
568 Sandhurst Dr
Fayetteville, NC 28304-4426
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Frequently asked questions
- What is Destane Leak's NPI number?
- Destane Leak's National Provider Identifier (NPI) is 1114791886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Destane Leak's specialty?
- Destane Leak is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Destane Leak located?
- Destane Leak's practice location on file with NPPES is 3649 Cape Center Dr, Fayetteville, NC 28304-4457.
- What is Destane Leak's phone number?
- The practice phone number listed in the NPPES registry for Destane Leak is (910) 484-1711.
- Is Destane Leak's NPI active?
- Yes — Destane Leak's NPI (1114791886) is active in the NPPES registry as of the last update on 2023-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.